Individual provider Active NPI

Aaron Delong, PT, SCD

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1477003754
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1141349 Issued in TX
Practice address
1911 Port LN Ste a
Amarillo, TX 79106-2471
Phone
(806) 381-3545
Fax
(806) 839-6954
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1141349 TX Primary

Addresses

Primary practice location

1911 Port LN Ste a
Amarillo, TX 79106-2471

Mailing address

91 Hunsley Hills Blvd
Canyon, TX 79015-1701
Phone (806) 676-5597

Other practice location 1

91 Hunsley Hills Blvd
Canyon, TX 79015-1701
Phone (806) 676-5597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171204002246 TX Practitioner - Physical Therapist in Private Practice 0749564706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polster Delong McKinney Group, LLCGroup PAC ID 8921382987, 2 clinicians

Practice addresses (Care Compare)

1911 Port LN
Suite a
Amarillo, TX 79106-2471
Phone (806) 676-5597

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1141349TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Polster Delong McKinney Group, LLC Physical Therapist CurrentSince Oct 21, 2016 Accepting new patients

Locations

1911 Port Ln
Ste A
Amarillo, TX 79106
Phone (806) 381-3545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477003754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HUNSLEY HILLS BLVD",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790151701",
            "telephone_number": "806-676-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 PORT LN STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062471",
            "telephone_number": "806-381-3545",
            "fax_number": "806-839-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Hunsley Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790151701",
            "country_code": "US",
            "telephone_number": "806-676-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELONG",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PT, SCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1141349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.